* HR ↓ (Vital ↓) * Coaulopathy (PLT dysfunction) * Mydriasis (Catecholamine ↑) ===== Systemic hypothermia : 36℃ 미만 ===== * Core temperature측정 부위 * esophagus, nasopharynx, tympanic membrane, pulmonary artery. * 32-20℃ : 10℃ 하강에 metabolic oxygen demand 50% 감소. 1℃ 감소에 7%씩 감소. * 15-18℃ : Total circulatory arrest.(up to 60min) ===== Hypothermia부작용 ===== * Reversible coagulopathy : PLT dysfunction, Thrombocytopenia. * Cardiac dysfunction : Bradycardia. * Left Hb-O2 saturation shift. * 말초혈관 저항 증가 * 술 후 protein catabolism & stress response(→mydriasis) * Renal function 감소. 약물 대사 감소. * Poor wound healing. * Phase Ⅰ : vasodilation, 1-2℃감소/ 1st hour * Phase Ⅱ : 3-4 hour * Phase Ⅲ : equilibrium, hypothalamus 억제 * Arrest 가능 : 성인 32-30℃, 소아 28-27℃